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  5. BONE ROOFING SUPPLY, INC.

BONE ROOFING SUPPLY, INC.

Company Details

Entity Name: BONE ROOFING SUPPLY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Sep 1971
Company Number: CORP_49896255
File Number: 49896255
Address 1950 N NARRAGANSETT AVE 1ST, CHICAGO, IL, 60639
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BONE ROOFING RETIREMENT SAVINGS PLAN 2023 362729296 2024-05-31 BONE ROOFING SUPPLY, INC. 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 6306288170
Plan sponsor’s mailing address 880 N ADDISON RD, VILLA PARK, IL, 601811153
Plan sponsor’s address 880 NORTH ADDISON ROAD, VILLA PARK, IL, 60181

Number of participants as of the end of the plan year
Active participants 52
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 51
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2024-05-31
Name of individual signing JACKLYN BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2022 362729296 2023-06-28 BONE ROOFING SUPPLY, INC. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 6306288170
Plan sponsor’s mailing address 880 N ADDISON RD, VILLA PARK, IL, 601811153
Plan sponsor’s address 880 NORTH ADDISON ROAD, VILLA PARK, IL, 60181

Number of participants as of the end of the plan year
Active participants 47
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 47
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing JACKLYN BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2021 362729296 2022-07-12 BONE ROOFING SUPPLY, INC. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 6306288170
Plan sponsor’s mailing address 880 N ADDISON RD, VILLA PARK, IL, 601811153
Plan sponsor’s address 880 NORTH ADDISON ROAD, VILLA PARK, IL, 60181

Number of participants as of the end of the plan year
Active participants 45
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 43
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing JACKLYN BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2020 362729296 2021-07-13 BONE ROOFING SUPPLY, INC. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 6306288170
Plan sponsor’s mailing address 880 N ADDISON RD, VILLA PARK, IL, 601811153
Plan sponsor’s address 880 NORTH ADDISON ROAD, VILLA PARK, IL, 60181

Number of participants as of the end of the plan year
Active participants 42
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 41
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing JACKLYN BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2019 362729296 2020-08-26 BONE ROOFING SUPPLY, INC. 43
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 6306288170
Plan sponsor’s mailing address 880 N ADDISON RD, VILLA PARK, IL, 601811153
Plan sponsor’s address 880 NORTH ADDISON ROAD, VILLA PARK, IL, 60181

Number of participants as of the end of the plan year
Active participants 41
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 40
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2020-08-26
Name of individual signing JACKLYN BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2018 362729296 2019-06-10 BONE ROOFING SUPPLY, INC. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 6306288170
Plan sponsor’s mailing address 880 N ADDISON RD, VILLA PARK, IL, 601811153
Plan sponsor’s address 880 NORTH ADDISON ROAD, VILLA PARK, IL, 60181

Number of participants as of the end of the plan year
Active participants 41
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 38
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 4

Signature of
Role Plan administrator
Date 2019-06-10
Name of individual signing JACKLYN BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2015 362729296 2016-07-11 BONE ROOFING SUPPLY INC 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 7732379740
Plan sponsor’s address 880 N ADDISON RD, VILLA PARK, IL, 601811153

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing JIM BONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing JIM BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2014 362729296 2015-03-06 BONE ROOFING SUPPLY INC 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 7732379740
Plan sponsor’s address 880 N ADDISON RD, VILLA PARK, IL, 601811153

Signature of
Role Plan administrator
Date 2015-03-06
Name of individual signing JIM BONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-06
Name of individual signing JIM BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2013 362729296 2014-07-24 BONE ROOFING SUPPLY, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 7732379740
Plan sponsor’s address 1950 N NARRAGANSETT AVE, CHICAGO, IL, 606393830

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing JIM BONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing JIM BONE
Valid signature Filed with authorized/valid electronic signature
BONE ROOFING RETIREMENT SAVINGS PLAN 2012 362729296 2013-07-31 BONE ROOFING SUPPLY, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-04-01
Business code 423300
Sponsor’s telephone number 7732379740
Plan sponsor’s address 1950 N NARRAGANSETT AVE, CHICAGO, IL, 606393830

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing JIM BONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing JIM BONE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JACKLYN E. PESEK, 880 N ADDISON RD, VILLA PARK, 60181, DU PAGE Agent 2018-08-20

President

Name and Address Role Account Number
DENNIS C. BONE, 211 S. WAIOLA,LA GRANGE IL 60525 President No data
JACK W BONE President 28540

Secretary

Name and Address Role Account Number
JACKLYN E. PESEK, 19 MOCKINGBIRD LN, OAK BROOK IL 60523 Secretary No data
JIM C BONE Secretary 28540

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2216410 Issued 4404 Regulated Business License 816 - Storage or Use of Hazardous Materials 2012-12-29 2012-12-29 2015-01-15
BUSINESS LICENSE 18279 Cancelled 1010 Limited Business License No data 2012-12-14 2013-01-16 2015-01-15
BUSINESS LICENSE 18278 Cancelled 1008 Hazardous Materials No data 2012-12-14 2013-01-16 2015-01-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 100

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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